Organization
THE BENTON HARBOR-ST. JOSEPH YOUNG MEN'S CHRISTIAN ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARK WEBER (CHIEF EXECUTIVE OFFICER)
(269) 428-9622
Entity
Organization
Contact information
Practice address
3665 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9581
(269) 428-9622
(269) 429-5482
Mailing address
3665 HOLLYWOOD RD, SAINT JOSEPH, MI 49085-9581
(269) 428-9622
(269) 429-5482
Taxonomy
Speciality
Code
Description
License number
State
174H00000X
Health Educator
Primary
—
—
Other
Enumeration date
09/08/2016
Last updated
09/08/2016
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